Correspondent Chen Ping
"We thought it was just an ordinary cough and fever, but we didn't expect it to be so serious, so that the child could be taken out of the ghost gate. Thank you so much for the child to be able to recover and be discharged from the hospital! Recently, in the Department of Pediatric Intensive Care Medicine of the Women and Children's Hospital of Zhumadian Central Hospital, the mother of the child Xuan Xuan (pseudonym) said excitedly.
Due to the recent high temperature, 5-year-old Xuanxuan had cough symptoms after blowing the air conditioner, and his parents felt that he might be cold, drink more water, and he would be fine in two days, but Xuanxuan had fever symptoms again, and he was wheezing after two days.
After her symptoms worsened, Xuan Xuan was taken to the Women and Children's Hospital of Zhumadian Central Hospital for treatment.
Gao Liang, head of the pediatric intensive care medicine department, said that when Xuanxuan was admitted to the hospital, his heart rate was fast, he had difficulty breathing, his blood oxygen saturation was low, his face was cyanotic, his whole body was hypoxic, and he had respiratory failure. It was preliminarily judged that Xuanxuan was severely pneumoniac combined with acute respiratory failure, and the medical staff immediately gave symptomatic supportive treatment such as non-invasive assisted ventilation and anti-infection. However, Xuanxuan's disease progressed rapidly, and less than 24 hours after he was admitted to the hospital, he experienced swelling in the neck and chest, aggravated dyspnea, plummeted blood oxygen saturation, and accumulated air under the skin in the neck, chest, and abdomen, like a balloon. Doctors determine that the child has developed a pneumothorax, and if the pneumothorax progressively worsens, once mediastinal emphysema develops, it may compress the heart and cause cardiac arrest.
In critical condition, the Department of Pediatric Intensive Care Medicine invited Feng Shijun, the head of the Department of Cardiac and Vascular Surgery, to conduct a consultation. Subsequently, Feng Shijun found the right position, punctured a small hole in the chest, and after implanting a drainage tube, a large amount of gas and dark red pleural fluid drained out.
At this time, a large amount of yellow purulent sputum frequently gushed out of the child's tracheal tube, and the bedside bronchoscopy was performed for the child, which showed that the superior bronchial branch of the right upper lobe of the lung was blocked, and a large amount of yellow sputum blocked the tracheal orifice. The doctor cleaned out a large amount of yellow purulent sputum, sent for testing and culture to detect Streptococcus pneumoniae, and after three bedside bronchoscopic lavage, the child's condition gradually improved.
After nearly half a month of rescue treatment and nursing care by the medical staff of the pediatric intensive care department of the hospital, the child recovered and was discharged.
Highlight everyone to remind everyone that the weather is hot at present, and most people are in closed air-conditioned houses, especially in public places, where viruses such as Mycoplasma pneumoniae, influenza, adenovirus, and respiratory syncytial virus are more likely to spread.
It is recommended to open windows for ventilation at least 2 times a day for 10-15 minutes each time, and pay attention to moisturizing; The air conditioner should be cleaned regularly and should not be turned on or off; Wear a mask when you go out, wash your hands frequently, and avoid crowded places.
Once the symptoms of severe illness such as aggravated cough, wheezing, and dyspnea appear, children with severe disease should immediately go to the hospital for further examination and treatment to avoid delaying the condition.